2015 Director’s Report
International Service-Learning Dentistry in Port Margot and Vaudreuil, Haiti
Name of Program:
Dates of Program:
Location of Program:
Director of Trip:
IU School of Dentistry International Service Learning Dental
Program in Port Margot and Vaudreuil, Haiti
May 29-June 13, 2015
Port Margot and Vaudreuil, Haiti
Timothy J. Carlson DDS MSD
Participants from IU
Selection Process:
Registered students at IUSD are invited early each fall semester to apply for a
position on a dental International Dental Service Learning team using the IU
iAbroad service. The students do not apply for only one program, they apply for
the integrated course, which includes all IUSD ISL experiences, and they are
requested to rank up to 5 country experience in descending order of preference.
The country directors evaluate the applications, and attempt to place as many
students as possible into their first choice of program. The date of their
application (first come-first served) and their grade level (year in school, not class
rank) largely determine which program they will be placed into. Certain programs
are developed for certain grade levels of student, so all can have an opportunity.
In our experience we have been able to place every student who has applied, and
the majority get their first choice. Those who apply late may get a second or third
choice of program if their first choice is already full.
Number:
Week One: four senior dental students, one 2015 Dental Hygiene
graduate, one 2015 dental graduate, one IUSD dental assistant, one IUSD staff
dental equipment technician/EMT, two IUSD faculty members (Restorative
Dentistry)
Week Two: four senior dental students, one junior dental student, two
IUSD faculty members (Restorative Dentistry).
Majors represented: Dental
Class standing: 3rd and 4th Year Dental
Campuses/ Institutions represented: IUPUI/IU School of Dentistry
Community Partner Individuals:
Week One: one dental hygienist (2015 graduate), one IUSD dentist (2015
graduate), one nurse/spouse of faculty member, all from Indiana
Week Two: one IUSD alumni dentist from Indiana
Both weeks: two Haitian translators, a driver and an American translator who all
work in Vaudreuil assisted our teams.
First and last day: one Haitian dentist resident of Port Margot, Haiti
First day, four individuals from St. Malachy parish, Brownsburg were in Port
Margot on a medial project and assisted us.
Pre-Departure Orientation Provided to Participants:
Drs. Martinez-Mier, Carlson and Garetto directed orientation through a minimum of eight
classes required of all participants. Four large group classes were required for participants
from all programs. Five additional Haiti-specific classes included student presentations of
topics to prepare for the trip, such as Haiti history, politics, geography, culture,
economics, health care, and working in a clinic environment in a developing country.
There was no prerequisite language requirement, although a working understanding of
French or Haitian Creole would have been helpful. Dental Haitian Creole language
instruction was part of the orientation sessions so the students could say a number of
greetings and dental instructions.
Academic Program:
Description of course offered:
This course consisted of the required four hours of large group didactic preparation
described above, an additional eight hours specifically related to Haiti, and a one-week
international experience for students of IUSD providing clinical dental treatment for
underserved patients in Haiti. Students can track their service/volunteer hours by
enrolling in the Community Based Education I, II or III elective courses. The Haiti
Service Learning experience can earn 3 Credit Hours in the summer before the second,
third or forth dental school years in the courses T572, T672 or T772 respectively. The
community volunteer hours earned in this experience also count toward the required 1
credit hour IUSD Intramural Elective module for senior dental students. This elective
course is "International Dental Service-Learning" and is a module in the required 19
credit hour clinical course T850 "Clinical Sciences IV Part II". All students who
participate in this experience are enrolled in this elective course and receive credit for 80
clock hours of experience in community dentistry. A maximum of 24 hours is allowed
from any one experience. Students from the Indiana University School of Dentistry were
involved in providing direct and supportive dental health care to underserved patients in
Northern Haiti. Both weeks logistics and housing were provided by One Mission Society
in Vaudreuil, Haiti, and mobile clinics were performed in churches and schools in the
north plain of Haiti. The
first day of the first
week and the last day of
the second week the
team worked with an
existing dental clinic
that is a cooperative
outreach of the St.
Marguerite Parish in
Port Margot, Haiti and
the St. Malachy parish
in Brownsburg Indiana.
The team utilized three
mobile dental units and
an air compressor
owned by St. Malachy
that are kept at the St. Marguerite clinic, and one additional portable unit brought with the
team from IUSD. The clinic schedule was set so we could pick up the dental units and
work in Port Margot at the beginning of the first week and return the units after the clinic
day at the end of the second week. The intervening eight mobile clinics were held in
facilities related to One Mission Society around North Haiti. For the first week, the team
consisted of four senior dental students, one IUSD dental assistant, one IUSD dental
equipment repair technician/EMT, the IUSD faculty mentor and his wife who is a nurse
and an IUSD alumni dentist who obtained adjunct faculty status for this trip. A 2015
graduate dental hygienist and a 2015 graduate dentist accompanied the team.
The second week, the team consisted of four senior dental students, one junior dental
student, the faculty dentist mentor and the alumni adjunct faculty dentist. A second IUSD
Alumni dentist joined the team for the second week. During the two clinic days in Port
Margot, we were joined by the Haitian Port Margot staff dentist. Local nationals were
hired by the in country host to act as translators, and they were invaluable in patient
organization, education and to facilitate patient treatment.
Any distinctive features:
This program is unique in that it offers the opportunity to provide dental services for
underserved patients in a developing country. This experience allows IUSD students to
observe and treat dental conditions that they would not see in this great concentration in
the US, and allows them to
understand living conditions and oral
health conditions in remote areas of a
developing country. The founding
faculty mentor for the Port Margot
experience (Dr. Garetto) has had
extensive experience in Haiti, having
traveled there nearly annually since
2001 to work with the infrastructure
of the clinic and parish area,
although he was not able to travel
with the team this year. The faculty
mentor dentist (Dr. Carlson) and his
wife have extensive experience in
Haiti, having lived in Vaudreuil,
Haiti for two years from 1978-1980,
and have directed ten previous IUSD
ISL student groups in Haiti. In
addition they have made other nonISL service trips to Haiti including
providing post-operative care to
victims immediately after the 2010
earthquake. They both speak Haitian
Creole. Dr. John Brewster was the
IUSD alumni dentist who obtained
adjunct faculty status, and he precepted the students during both weeks along with the
director, Dr. Carlson. Dr. Brewster was a student member of the second and third Haiti
ISL teams in 2002 and 2003. He has also served as a community partner dentist for two
IUSD ISL experiences with Dr. Carlson in Ecuador. The second week we were joined by
a second IUSD alumni community partner dentist, Dr. Patricia New. Both Dr. Brewster
and Dr. New were invaluable members of the teams.
There are a small number of dentists in northern Haiti, and our teams are well received
and work closely in support of their efforts. On the first Saturday evening of the first
week, Dr. Carlson, Dr. Brewster and the students provided an evening CE course for the
North Haiti Dental Association. Several Haitian dentists and the entire ISL team shared
the evening, including dinner at a local restaurant in Cap Haitien provided by the
president of the dental association. This year was the eighth in a series, the last six have
occurred annually since the 2010 earthquake. An asset at the two Port Margot clinic days
was working with Dr. Albertus, the Haitian dentist who staffs that clinic three days per
week.
Even with this existing dental infrastructure, there is a large unmet need for any form of
dental treatment and oral health education throughout Haiti. This course is heavily
oriented toward providing direct dental services. In ten clinic days, our team treated 414
patients in the clinics, providing 361 dental restorations, 158 dental cleanings, and 314
dental extractions. We also provided fluoride varnish applications for an additional 780
children in the yards outside of the clinic areas. In addition to the clinical activities the
students were able to see the Citadelle Laferrière and the ruins of the Sans-Souci palace,
significant UNESCO World Heritage sites located in northern Haiti. Both teams were
able to visit protected private beaches during one afternoon. The trip mentors and alumni
dentists accompanied the students utilizing chauffeurs and transportation provided by
each host organization to visit the sites as group excursions.
Strengths/weaknesses of academic program:
The program has enthusiastic faculty and students, and well-organized and experienced
in-country sponsors and faculty mentors. The two faculty mentors and the in-country
sponsors have become experienced and effective in providing relatively comprehensive
dental care in a small towns in Haiti, while also providing time to appreciate the culture
and beauty of the country and people. The academic and clinical portions of the program
are strengths, improvements needed in the accommodations in Port Margot are addressed
in the student housing section.
Any Recommended Changes:
No significant changes are recommended to the academic or clinical program. There are
minor modifications such as adjusting the amount of clinical instruments and supplies
related to the number of expected patients each day.
Impact/ influence of overseas setting on academic experience:
The overseas setting is
invaluable to the impact of this
program. This program is
designed to provide dental
services in a developing
country to children, youth and
adults who otherwise have
limited access to dental care.
The dental students treated
dental conditions that were
much more severe and
concentrated than routinely
seen in the U.S., even among
underserved patients here. Serving this rural Haitian population was very eye opening to
the students, as this population expresses an unusual degree of cooperation and gratitude
that is rarely seen in the typical American dental population of any economic
background.
Another big advantage of the
overseas setting is in the team
building and camaraderie
developed among the team
members. The concentrated time
of working in clinics together
under difficult conditions,
problem solving and sharing
meals together on a daily basis
increased a strong feeling of
interdependence among the team
members and faculty that would
never develop in a traditional US
based clinic activity. These trips
by the design of the logistics use
relatively small teams of five to
six students with IUSD faculty
mentors, including two or three
licensed dentists on each team. This provides a very favorable student to faculty ratio,
which allows an unusually high degree of interaction and teaching and learning
opportunities.
Description of reflection activities and how those impacted the student learning
experience:
One of the requirements of the ISL course is for each student to maintain a journal, a
portion of which must be submitted at the end of the course. In addition, each night after
supper the team met with the faculty mentors to evaluate and reflect on the day’s
activities for both personal
and educational enrichment
as well as to improve clinic
function on subsequent
days. Following return to
IUSD, the team gathered
for a post-trip reflection
and course/trip evaluation
session. Other students and
faculty are allowed to
attend this session, but it is
typically the involved
students who attend. This
journaling and group
reflection sessions cement
in the student’s minds the
experiences and meaning of
those experiences relative to culture and dental conditions and treatment in a developing
country. It also helps the director to continually evaluate and improve the experience for
students and patients.
Description of field trips and excursions and how they served the academic mission:
The most significant field trip for each team occurs on either Saturday or Sunday the
weekend before the clinic week starts. This is the day that the team visits the Citadelle
Laferrière and the ruins of the Sans-Souci
palace, significant UNESCO World Heritage
sites located in northern Haiti. The Citadelle is
the largest fort in the Caribbean and is still
largely intact with its original armament. It is
said to be the finest and largest collection of 19th
century armament in one location. The Citadelle
and the Sans-Souci palace were built at the
d
i
r
e
c
t
i
o
n
direction of Henri Christophe, the first
emperor of Haiti after their
independence in 1804. Part of the IUSD
ISL course leading up to traveling to Haiti included study of the history and significance
of Haiti becoming the first Black nation in the world to overthrow colonial rule. Haiti is
also the second nation in the New World (after the USA) to gain independence from a
foreign power. Both of these
facts and the amazing
constructions are true sources of
national pride for the Haitian
people in spite of their chronic
financial and social difficulties.
The second field trip was to visit
a local beach for a half day of
respite from the week of intense
clinical activity. Both of these
activities were taken as a group,
along with the IUSD faculty
leader. Transportation was
provided by the community
partner in Haiti each week.
Summary of Grade Distribution
Credit is given in the elective courses in International Dental Service-Learning. There
are no letter grades given, all students who participate fully in all phases of the course
including campus and international portions receive “pass” evaluations.
Description of Student Housing and Program Facilities:
The in-country sponsor provided housing for students and faculty. This year for the first
time, both teams stayed at the Vaudreuil facility during the two sequential weeks.
Students, faculty and volunteers were housed in three guesthouses on the grounds of the
One Mission Society property. These are very adequate ranch style houses with hot and
cold running water, flush toilets and food service on site. The site maintains it’s own
water supply, which allows clean drinking water from the taps on the compound. The
individuals in charge of guest arrangements are from the U.S., and are on site full time. In
all of Haiti, electrical power is not consistently available, and the sponsor generates their
own power with diesel generators throughout the day as conditions and national power
warrant. Full electric power is not available during the night. The guesthouses have
battery back-up electric inverter systems that provide limited 110V power after the main
power is shut off. This allows lower power systems like designated lights and fans to
operate throughout the night. Students were prepared for this schedule and took it in
stride. The facility provided bed linens and towels. The transportation provided by the
sponsor was appropriate for the conditions of the roads, some of which were quite good
and others quite poor as is expected. On balance, there was a dramatic increase in the
miles of paved roads in the north between 2010 and 2014, so travel was significantly
improved in some areas, with expected difficult roads in other areas. There was not a
significant improvement in roads in the past 12 months in the north, as construction has
shifted primarily to central Haiti. The road from Limbe to Port Margot remains a gravel
and dirt road
Description of Meal Arrangements:
Both weeks the teams benefitted by close association with their Haitian hosts, eating
meals prepared by Haitian cooks using primarily local ingredients. Fresh cooked
breakfast and supper was provided at the main guesthouse, and sandwich lunches were
provided in coolers for the mobile clinic days. Water and fresh juices were served in
addition to bottled beverages. All meals were included in the fee paid to the sponsors,
which covered the cost of room, board, and in-country transportation.
Description of Any Health and Safety Incidents including Disciplinary Problems:
No safety incidents or disciplinary problems occurred during the program. There were no
incidents of any political or social unrest seen by any participant at any time. Haitians are
very stoic and hardworking people. Even though we observed the expected poverty-level
living conditions and markets, individuals greeted us warmly. Insect bites were an
expected occurrence, but in actuality the teams were remarkably free from complaints of
insects. We encouraged the use of insect repellents. During the both weeks a few
individuals periodically reported some GI upset, which subsided after one day with
treatment. One student from the first week required physician assistance with an illness
that presented four days after he had returned to the U.S. It is not known if the illness was
related to the trip, travel or merely coincidental to his return. He was back at school in
good condition several days after receiving treatment.
Describe Any Aspects of the Program That Have Changed From the Original Proposal or a
Previous Iteration of the Program:
The only change is that both Team 1 and Team 2 stayed on the OMS compound in
Vaudreuil in 2015 as was described in the housing description. In prior years, one team
stayed one week in Port Margot and one team stayed the second week in Vaudreuil. This
change was because the housing and water quality is superior at the Vaudreuil facility.
The teams continued to cooperate with both NGOs in Vaudreuil and Port Margot, serving
both populations. The two facilities are about 40 minutes apart, so Team 1 treated Port
Margot patients on the first day of the first week, and Team 2 finished in Port Margot on
the last day of the second week. In this way, we could bookend the experience by serving
that population with both teams. This arrangement was quite satisfactory to both NGOs,
and their patients, and it is anticipated that we will continue to utilize this arrangement
with future teams to Haiti. The student satisfaction reports for housing are better in
Vaudreuil than Port Margot. It is anticipated that Port Margot will upgrade housing
sometime in the future and we could consider using that housing for one week when that
occurs.
Recommendations for Future Offerings of this Program:
Within the past year for the first time American Airlines became the first and only major
carrier providing direct commercial flights with large jets into Cap Haitien from Miami.
This provided the opportunity for our teams to take the same airline from Indianapolis to
Cap Haitien. This greatly reduced luggage fees we had paid on smaller commercial
carriers into Haiti, and assured that one carrier would be responsible for luggage transfers
for all legs of the flight. In addition, the schedule allowed the potential to make the
connections into and out of Haiti in one day both going and returning. This saved a hotel
night in Florida that has always been necessary when using the smaller carriers to fly into
Haiti. Unfortunately it appears that American Airlines is still working out some
scheduling difficulties on this new addition to their schedule. The return flights from
Haiti were delayed both weeks causing missed connecting flights in Miami. The airlines
did provide hotel and food vouchers for the teams in Miami, but that added a level of
frustration and uncertainty to the return flight. The first week, the entire team was able to
get on the same direct flight into Indianapolis the next day, but the second week team had
to split up onto three different routes to get to Indianapolis the following day. All of the
luggage did get to and from Haiti successfully with only one late bag on the return. As we
begin assessing flights for 2016, we will need to take into careful consideration the flight
schedules and their on-time performance. The American/US Airlines merger will have
been well established by then, so there will likely be some adjustments to the schedules.
If there is not sufficient layover scheduled in Miami (more than 2 hours) we may
schedule an overnight in Miami. All things being equal, it is much preferable to be able to
complete travel in one day.
This year, the international portion of this course was scheduled to be nine days duration
for the first week and eight days for the second team covering seventeen days for Dr.
Carlson and Brewster. The first team left Indianapolis and arrived in Haiti on a Friday. At
the end of the first week, Drs. Carlson and Brewster brought the first team to the Cap
Haitian airport to leave Haiti, and received the second team later that afternoon. Both
teams left Haiti on Saturdays. With the first team entering Haiti on Friday (instead of
Saturday last year), this afforded an extra day to get all the supplies in and organized and
a half day for the first team to visit a beach on the first Sunday which had not been
possible during previous years due to time constraints. Both teams were able to visit the
historically significant sites of the Citadel and San Souci on their first weekends, and still
have time to get organized prior to beginning the clinical week on Monday.
The students were pleased with the mix of cultural experiences with the predominate
clinical experiences. The sizes of the traveling groups seemed appropriate. The group the
first week consisted of four senior dental students and a recently graduated dental
hygienist. There were also two experienced dentists and the director’s spouse who is a
nurse, which helped the clinical program a great deal. We had a dental assistant volunteer
the first week again this year along with a dental equipment technician who is also an
EMT. This is the third year that they been able to join the team. This proved to be very
valuable in organization and efficiency of the students and clinical experience, and it is
recommended to encourage the addition of dental staff on future trips. The second week
we had four senior dental students and one junior dental student along with an
experienced dentist besides Dr. Brewster and Dr. Carlson. The total number of
participants was eleven the first week and eight the second. In this environment and
facilities that number seems to be a good maximum to work with although we could have
up to 6-8 total students each week. Having moderate sized groups provides many benefits
including having an easier time getting the entire team on the same flights, simplified
transportation in country, and a more homogeneous team. In addition, housing space is
limited in each sponsoring agency, so it would be difficult to bring a much larger group.
The amount of dental equipment (four mobile dental units, one chair and one compressor)
and instruments worked well for these clinical activities. Due to significant luggage fees
associated with transporting this amount of material on both domestic and international
airlines, it is helpful to be as conservative as possible and still have the appropriate
amount of equipment and supplies. Because our community partner in Port Margot has
three portable units available for use, we only needed to transport one in and out of Haiti,.
Having the two trips back-to-back allowed efficiency of equipment transportation, as all
of the equipment could be used both weeks and only transported once. The amount of
supplies was generally correct, and we did not run out of any supplies with the exception
that you can never bring enough fluoride or toothbrushes for the potential number of
patients. Having the registered nurse sterilize instruments the first week and team
participants do so the second week worked well. Instrument and supply organization
worked very well as last year due to increased organization
From a director’s point of view, both the didactic classes and the in-country program ran
well this year. This was the sixth year that the directors of all seven international
programs cooperated in a required core curriculum of four lectures presented to the
combined student groups. The required lectures received a generally positive response
from the students and they appreciated the effort of a group orientation. The sessions are
all held after school at 5:15PM, which makes energetic interaction with the students a
challenge after long clinic days. There is no easy solution to this late lecture hour, as
there is no time during the 8 to 5 academic hours that all the students are available at the
same time. None-the-less, the group classes worked quite well this year. Part of this was
due to the use of our newly renovated lecture rooms that provide a better small-group feel
and group interaction. Five Haiti-specific sessions were concentrated in April and May.
In addition, two final sessions were specified for packing supplies and organizing.
Students were given practice phrases of Haitian Creole in text form and in recordings
from a native Creole speaker. This gave the students some basic phrases that were helpful
in the clinic.
Program Will Next be Offered:
May 27-June 4 continuing with a second group from June 4- June 11, 2016, both weeks
in Vaudreuil.
Reflections on any concerns raised by Overseas Study Advisory Council during the
program approval process:
Overseas Studies Advisory Council requested that every participant have a cell phone
capable of accessing the cell network in Haiti to communicate with each other and to be
able to contact the United States in an emergency. Each student and faculty member
provided personal cell phones with that capability. As requested, plans were made for a
meeting place for each team if there was a communication breakdown, and an alternate
exit strategy through the Dominican Republic by commercial bus was determined.
Fortunately as expected, the entire portion of Haiti we traversed was very calm. There
were no incidents that provided any safety concern during the trip. Cell phones were
utilized primarily to keep up with family at home, and for those who utilized cellular
data, to access internet and email. Students are made aware of all US State Department
and CDC publications, guidelines and recommendations.
Attachments:
Appendix A: Participants Week I and Week II
Appendix B: Treatment Statistics Week I
Appendix C: Treatment Statistics Week II
Appendix D: Didactic Course Syllabus, Program Schedule, Daily Routine, Calendar of Program
Appendix E: Student Evaluation Form
Appendix A: Participants Week I and Week II
2015 Week I, Port Margot/Vaudreuil, Haiti Participants:
Pandya, Ami Kelley, Mackenzie Lane, Jonathan Clinton Adams, Priscilla Chilman, Lauren Colbert, Leah Beltran, John Jouravlev, Anna Carlson, Timothy, DDS Carlson, Ann, RN Brewster, John, DDS Fourth Year Dental Student Fourth Year Dental Student Fourth Year Dental Student Fourth Year Dental Student Dental Hygienist IUSD Dental Assistant IUSD Staff Equipment Tech, EMT IUSD Alumni Dentist Professor, Restorative Dentistry Registered Nurse IUSD Alumni Dentist 2015 Week II, Port Margot/Vaudreuil, Haiti Participants:
Liao, Melissa Sheng, Li Jia (Linda) Squires, Margaret Son, Jacob New, Shane Carlson, Timothy, DDS New, Patricia, DDS Brewster, John, DDS Fourth Year Dental Student Fourth Year Dental Student Fourth Year Dental Student Fourth Year Dental Student Third Year Dental Student Professor, Restorative Dentistry IUSD Alumni Dentist IUSD Alumni Dentist Appendix B
Treatment Statistics Week I, Port Margot/Vaudreuil, Haiti:
IUSD Haiti I Team Clinical Statistics 6/2015 Tuesday Wednesday Thursday Friday Child Patients 21 10 3 2 4 40 Adult Patients 22 26 46 40 50 184 # Clin Patients 43 36 49 42 54 224 $13,440 Child F-­‐only Pts 20 44 64 70 160 358 $18,258 # Pts total 63 80 113 112 214 582 Ext Primary 7 4 0 2 3 16 Ext Permanent 22 26 46 40 36 170 Ext Total 29 30 46 42 39 186 $52,080 Sealant 19 16 0 0 4 39 $2,418 Resin 18 7 21 43 27 116 $26,680 GI Resto 0 0 0 0 0 0 $0 GI ART 3 0 0 3 0 6 $480 Amalgam 16 3 8 3 5 35 $1,080 Temp/IRM 0 0 0 0 0 0 $0 Resto Total 56 26 29 49 36 196 Prophy 12 8 22 14 21 77 $5,313 Rx 10 30 25 22 17 104 $0 Other F-­‐ 1 2 0 0 0 3 $120 Location Total Week Value in USD Monday $119,869 Appendix C
Treatment Statistics Week II, Vaudreuil, Haiti:
IUSD Haiti 2 Team Clinical Statistics 6/2015 Total Week Value in USD Monday Tuesday Wednesday Thursday Friday Location Child Patients 0 2 3 3 2 10 Adult Patients 44 34 43 36 35 192 # Clin Patients 44 36 46 39 37 202 $12,120 Child F-­‐only Pts 85 85 162 90 0 422 $21,522 # Pts total 129 121 208 129 37 624 Ext Primary 0 2 2 0 0 4 Ext Permanent 50 22 28 9 15 124 Ext Total 50 24 30 9 15 128 $35,840 Sealant 0 0 8 6 12 26 $1,612 Resin 21 34 8 22 19 104 $23,920 GI Resto 0 0 2 9 5 16 $3,680 GI ART 0 0 0 0 0 0 $0 Amalgam 3 3 4 6 3 19 $3,420 Temp/IRM 0 0 0 0 0 0 $0 Resto Total 24 37 22 43 39 165 Prophy 9 11 22 19 20 81 $5,589 Rx 46 23 22 8 20 119 $0 Other F-­‐ 0 0 1 1 2 4 $160 $107,863 Appendix D: Didactic Course Syllabus, Program Schedule, daily routine, calendar of program
CLASS SCHEDULE
Date
Jan 28, 2015
Feb 4 2015
Feb 11, 2015
Feb 18, 2015
Topic
Service learning models
Triage and dental treatment planning skills
Cross cultural patient/provider encounters Ethics in international service learning
Week of March 9 May/June/July
ISL experience for spring programs ISL experience for summer programs
Faculty
Dr. Mary Price
Dr. Armando Soto
Dr. Angeles Martinez-­‐Mier
Drs. Lawrence Garetto, Timothy Carlson, and Michael Kowolik
Program directors Program directors
Haiti Specific Dates:
3/24: Haiti Team Seminar: Dr. Carlson Orientation, Topic 1
4/7: Haiti Team Seminar: Topic 2,3,4
4/21: Haiti Team Seminar: Topic 5,6,7
4/28: Haiti Team Seminar: Topic 8,9,10
5/12: Haiti Team Seminar: Topic 11,12,13
5/20: Packing
5/26: Finish packing
5/29: Team 1 travels to Haiti
6/6: Team 1 returns, Team 2 travels to Haiti
6/13: Team 2 returns to Indy
Topics:
1) Haiti History, precolonial and colonial through independence. (Dr. Carlson)
2) Haiti Political structure 1804-1900, effect on development (Abubaker)
3) Haiti Political structure 1900- present, Presidents from Duvalier to present, effect on
development (Melissa)
4) Haiti/historical France debt/reparations, effect on development (Jon)
5) Haiti/US historical and current relations, mostly last 100 years, should we change
(Mackenzie)
6) Historical structures in North: Citadelle Laferriere and Sans-Souci palace (Linda)
7) Economics/ industries/ imports/exports/tourism/ any improving or not, solutions (Shane)
8) Haiti geography, 2 major cities, rivers, mountains, deforestation (especially in North, Cap
Haitien/northern plain area) (Margaret)
9) Haiti Culture, religions -Voodoo-Christianity – effects (Jacob)
10) Medical and Dental education in Haiti, Provision of Health/Dental Care in Haiti, solutions
(Priscilla)
11) Housing, Utilities, transportation systems, standard of living, occupations (Ami)
12) Sanitation/ Major public health problems/ contagious diseases/ water borne/ vector borne,
solutions (Lauren)
13) Recent natural disasters in Haiti (past 5-10 years) status of foreign aid, solutions (Aakar)
Volunteers for jobs (first week, second week):
1) Donor thank-you letters (Linda)
2) Luggage/equipment counting at airport, bus transfer, each time we move them (1 each
week) (— 1, Melissa 2, Shane 2 )
3) Supply inventory, at IU and daily supply table set up in Haiti, (2 first week, 1 second
week) (Mackenzie 1, Ami 1, Margaret 2)
4) Creole language aids-phrase prompt sheets, education (Dr. Carlson, Dr. Amazan)
5) Entertainment/diversions/games (1 each week) (Lauren, …)
6) Record keeping-Pt statistics, quotable quotes (1 each week) (Jon 1, —— 2)
7) Photo collation, distribution, (video editing?) (Jacob)
8) Instructions/ Pt Education helps (1 each week- Drs Carlson and Amazan can help) (Lauren 1,
Jacob 2)
9) Portable Equipment setup (1 each week) (Aakar 1,2 Shane 2)
10 Prizes/stickers for child patients--(I have a pretty good supply) (1 each week) (Priscilla 1,
Melissa 2)
11) Roommate organization (1 each week) (Ami 1, Linda 2)
12) Instrument clean-up, rebagging end of day (1 each week) (Jon 1, Margaret 2)
13) Portable Equipment breakdown each day (1 each week) (Aakar 1,2, Melissa 2, Shane 2)
Daily Schedule:
Team 1
Friday, 5/29/15- Team 1 travels Indy- Miami-Cap Haitien, leave 6AM, arrive 1:06 PM
Time in Cap Haitien for customs, immigration
OMS personnel transport team to OMS compound, Vaudreuil, Haiti
Locate rooms, organize
Supper at OMS compound
Saturday
Breakfast, sack lunch, tour Citadel and San Souci palace ruins
Evening CE course presentation for Cap Haitien Dentists, supper
Sunday
Breakfast; Lunch at Comier Plage private beach
Evening arrange supplies for clinic week
Daily M-F
Breakfast 7AM
Leave for clinics 7:30 AM
Travel time 1 to 1.5 hours each way
Sack lunch on site
Supper at OMS compound
Team meetings, Q/A with Haitian leaders or American hosts after supper
Saturday 6/6/15
Team 1 Arrive at Cap Haitien airport 1:30 PM
American Airlines 3:18 PM Cap Haitien to Miami and Indianapolis, arrive 11:50 PM
Drs. Carlson and Brewster stay in Haiti to drop off Team 1 and welcome Team 2
Daily Schedule:
Team 2
Saturday, 6/6/15- Team 2 travels Indy- Miami-Cap Haitien, leave 8:45 AM, arrive 2:28 PM
OMS personnel transport team to OMS compound, Vaudreuil, Haiti
Locate rooms, organize
Supper at OMS compound
Sunday
Breakfast, sack lunch, tour Citadel and San Souci palace ruins
Initial clinic organization and set-up
Daily M-F
Breakfast 7AM
Leave for clinics 7:30 AM
Travel time 1 to 1.5 hours each way
Sack lunch on site
Supper at OMS compound
Team meetings, Q/A with Haitian leaders or American hosts after supper
Friday afternoon, visit Chu Chu bay private beach
Saturday 6/6/15
Team 2 Arrive at Cap Haitien airport 1:30 PM
American Airlines 3:18 PM Cap Haitien to Miami and Indianapolis, arrive 11:50 PM
Appendix E: Student Evaluation Form
EVALUATION OF INTERNATIONAL SERVICE
LEARNING PROGRAMS AT IUSD – Haiti 2015
Planning Phase:
1. Planning began sufficiently early to prepare me for the trip.
Strongly disagree 1
2 3
4
5 Strongly agree
2. Students were sufficiently involved in developing goals for trip.
Strongly disagree 1
2
3
4
5
Strongly agree
3. Communication via e-mail and group meetings was effective.
Strongly disagree 1
2 3
4
5 Strongly agree
4. Expectations about the project and the trip were clearly explained.
Strongly disagree 1
2
3
4
5 Strongly agree
COMMENTS:
Education Phase:
1. Dr. Price’s discussion of “Service-Learning Models” was helpful and relevant to our project.
Strongly disagree 1
2 3
4
5 Strongly agree
2. Drs. Armando Soto’s discussion of “Triage and Treatment Planning Skills” was helpful and relevant
to our project.
Strongly disagree 1
2 3
4
5 Strongly agree
3. Drs. Martinez-Mier’s discussion of “Cross-cultural Patient Provider Encounters” was helpful and
relevant to our project.
Strongly disagree 1
2 3
4
5 Strongly agree
4. Dr. Garetto, Dr. Kowolic and Carlson’s discussion of the “Ethics in Health Service Trips” was
helpful and relevant to our project.was helpful and relevant to our project.
Strongly disagree 1
2
3
4
5 Strongly agree
5. The Haiti-specific small group sessions directed by Dr. Carlson were helpful and relevant to our
project.
Strongly disagree 1
2 3
4
5
Strongly agree
COMMENTS: Please comment on specific portions of the above discussions and make any suggestions
for topics to cover in the future.
THE TRIP:
1. Students were sufficiently prepared regarding items to pack.
Strongly disagree 1
2 3
4
5 Strongly agree
2. The airline and bus arrangements were organized and appropriate.
Strongly disagree 1
2 3
4
5 Strongly agree
3. The accommodations were appropriate.
Strongly disagree 1
2 3
4
5 Strongly agree
4. There was enough variety and amount of food and drink.
Strongly disagree 1
2
3
4
5 Strongly agree
5. Transportation on site was adequate.
Strongly disagree 1
2 3
4
5 Strongly agree
6. The trip was an appropriate length of time.
Strongly disagree 1
2 3
4
5
Strongly agree
7. Appropriate amount of time was devoted to experiencing the culture and interacting with the
community.
Strongly disagree 1
2 3
4
5
Strongly agree
8. Appropriate amount of time was devoted to clinics.
Strongly disagree 1
2 3
4
5 Strongly agree
9. The dental equipment and materials were appropriate for the clinics
Strongly disagree 1
2 3
4
5
Strongly agree
10. The clinics were effective and well organized.
Strongly disagree 1
2 3
4
5 Strongly agree
11. Appropriate amount of time was devoted to discussion and reflection of the events of the day.
Strongly disagree 1
2 3
4
5 Strongly agree
COMMENTS:
GENERAL:
1. If it were possible, I would participate in this project again.
Strongly disagree 1
2
3
4
5
Strongly agree
2. The best part(s) of the project was:
3. What part(s) of the project should be improved if we did it next year?
4. How has this experience affected your outlook on life?
5. I am interested in being a student organizer next year.
Yes
COMMENTS:
No